The purpose of this study is to assess the cost-effectiveness of this Differential Wraparound model, in 5 Children's Aid Societies within Hamilton-Niagara Region, in preventing maltreatment cases from either becoming ongoing protection cases, or the children ending up in out-of-home of out-of community placements, as well as reducing the amount of time in Children's Aid Society care as compared to usual Children's Aid Society risk assessment and protection service alone.

The Comparative Effects and Expense of Augmenting Usual Children's Aid Society (CAS) Care With a Regional Differential Response and Wraparound Prevention Service for Children

Further study details as provided by Hamilton Children's Aid Society:

Primary Outcome Measures:

To measure the characteristics of families and their children and comparisons between usual care versus differential response [ Time Frame: Follow-up at 1 year and 2 years ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:

Follow up measures at 1 year and 2 year follow ups including measuring whether differential response is happening [ Time Frame: 6 months after facilitator is assigned ] [ Designated as safety issue: Yes ]

The number of children in child welfare care has increased from 10,000 in the early 1990s to over 18,000. Ontario spends over $1.1 billion a year on direct child welfare services, more than twice as much as spent in the late 1990s, with the majority of these resources spent on investigation instead of treatment. In response to this situation, Differential Response models, sometimes called alternative, multiple or integrated system responses, have been implemented in the US, Australia and Canada and are all at the beginning stages of systematic evaluation. These models will help prevent maltreatment cases from becoming ongoing protection cases, or the children ending up in out of home or community placements, and reduce the amount of time in Children's Aid Society care. This research will show the benefits and costs of a Differential Response approach to Children's Aid Society care, specifically in the Hamilton-Niagara Region

Eligibility

Ages Eligible for Study:

1 Year to 80 Years (Child, Adult, Senior)

Genders Eligible for Study:

Both

Accepts Healthy Volunteers:

No

Sampling Method:

Probability Sample

Study Population

Clients of CAS going on to protective custody cases

Criteria

Inclusion Criteria:

Parent of children and youth, living in Hamilton and surrounding areas.

Newly referred substantiated cases going on to protective services.

English & non-English speaking.

Exclusion Criteria:

Safety threat

Non-substantiated cases not going to protective services.

Contacts and Locations

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To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below.
For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00559208